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Search › Michigan › 103TC1900X

Jonathan Athearn, TLLP

NPI 1558588806 · on the registry since 2007

Practice

Address
1331 Lake Dr Se
Grand Rapids, MI 49506
Phone
(616) 459-7215
Fax
(616) 235-0979
Organisation at this address
Good Life Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan